Lively, Danita Lynn

Lively, Danita Lynn is an individual health care provider with primary practice located at 703 Pro-Med Ln , Carmel IN 46032-5317. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Lively, Danita Lynn can be contacted via phone (317) 844-0055.

Contact Information

Primary practice address
703 Pro-Med Ln Carmel IN 46032-5317
Phone: (317) 844-0055
Fax: (317) 581-3918
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01031924A Indiana
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 01031924A Indiana

Profile Details

NPI number 1093799173
LBN Legal business name Lively, Danita Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Jan 6th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093799173 NPPES
Indiana MEDICAID 100352260

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